Organization
POWELL TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVONDA POWELL (OWNER)
(615) 955-3564
Entity
Organization
Contact information
Practice address
305 E TRINITY LN STE 106, NASHVILLE, TN 37207-4653
(615) 955-3564
Mailing address
3201 HOSPITAL LN, NASHVILLE, TN 37218-3029
(615) 968-1964
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q066135
—
TN
Enumeration date
04/07/2021
Last updated
06/28/2021
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